NCLEX RN UWORLD NEWEST EXAM
VERSION QUESTIONS WITH GOLDEN TIPS
SOLUTIONS 100% CORRECT
The ECG of a client with a single-chamber atrial pacemaker should display - ✔✔
ANSWER✔✔-a pacemaker spike before the P wave.
On an electrocardiogram (ECG), - ✔✔ANSWER✔✔-the P wave represents atrial
depolarization and the QRS complex represents ventricular depolarization. The
ECG of a client with a single-chamber atrial pacemaker should display a
pacemaker spike before the P wave.
occurs when a blood clot becomes lodged in a vein. Clinical manifestations
include unilateral edema, localized pain, tenderness to touch, warmth, and
erythema. - ✔✔ANSWER✔✔-Deep venous thrombosis
,is a life-threatening complication of pericarditis that develops when fluid
accumulates within the layers of the pericardium. Clinical manifestations include
tachycardia, muffled heart tones, jugular venous distension, and pulsus
paradoxus. - ✔✔ANSWER✔✔-Explanation
Cardiac tamponade
Clients with pericardial effusion should be - ✔✔ANSWER✔✔-monitored and
assessed closely for the development of cardiac tamponade. Signs and symptoms
of tamponade include muffled or distant heart tones, hypotension, narrowed
pulse pressure, jugular venous distension, and pulsus
indicate turbulent blood flow across diseased or malformed cardiac valves. They
are often described as musical, blowing, or swooshing sounds that occur between
normal heart sounds. They may be auscultated at the aortic, pulmonic, tricuspid,
or mitral areas. - ✔✔ANSWER✔✔-Murmurs
Clients taking estrogen therapy are at an increased risk for - ✔✔ANSWER✔✔-
hypercoagulability and thromboembolic complications. Signs or symptoms of
deep venous thrombosis (eg, leg swelling, redness, pain) should be reported to
the health care provider immediately.
The nurse needs to monitor groin puncture sites, peripheral pulses, urine output,
and kidney function in the client who has had minimally invasive endovascular
repair of an abdominal aneurysm. - ✔✔ANSWER✔✔-Endovascular abdominal
aortic aneurysm repair i
, increases the risk of tissue necrosis and limb loss. Management focuses on
improving blood flow and circulation to the extremities through lifestyle changes
and medications. - ✔✔ANSWER✔✔-Peripheral artery disease
on ECG is characterized by an irregular rhythm with fibrillatory waves instead of P
waves. Treatment includes rate control and anticoagulation. - ✔✔ANSWER✔✔-
Atrial fibrillation
is a sympathomimetic inotropic agent that increases heart rate, blood pressure,
cardiac output, and urine output. Vital signs should be monitored closely in these
clients as a higher dose can result in dangerous tachycardia and tachyarrhythmias.
- ✔✔ANSWER✔✔-Dopamine
Clinical manifestations of hypovolemic shock - ✔✔ANSWER✔✔-are associated
with inadequate perfusion and include urine output <0.5 mL/kg/hr, changes in
mental status, hypotension, and tachycardia.
The nurse should carefully monitor renal status in a client who has had abdominal
aortic aneurysm repair. - ✔✔ANSWER✔✔-BUN, creatinine, and urine output
should be assessed. Urine output of at least 30 mL/hr is expected.
When administering furosemide, it is important to closely monitor - ✔✔ANSWER
✔✔-the client's vital signs, serum electrolytes (potassium), and kidney function
tests (blood urea nitrogen, creatinine) prior to administration to prevent side
effects such as hypokalemia, hypotension, and kidney injury.
measuring capillary refill and assessing skin color and temperature; these are
usually within normal limits during the initial and compensatory stages of shock. -
VERSION QUESTIONS WITH GOLDEN TIPS
SOLUTIONS 100% CORRECT
The ECG of a client with a single-chamber atrial pacemaker should display - ✔✔
ANSWER✔✔-a pacemaker spike before the P wave.
On an electrocardiogram (ECG), - ✔✔ANSWER✔✔-the P wave represents atrial
depolarization and the QRS complex represents ventricular depolarization. The
ECG of a client with a single-chamber atrial pacemaker should display a
pacemaker spike before the P wave.
occurs when a blood clot becomes lodged in a vein. Clinical manifestations
include unilateral edema, localized pain, tenderness to touch, warmth, and
erythema. - ✔✔ANSWER✔✔-Deep venous thrombosis
,is a life-threatening complication of pericarditis that develops when fluid
accumulates within the layers of the pericardium. Clinical manifestations include
tachycardia, muffled heart tones, jugular venous distension, and pulsus
paradoxus. - ✔✔ANSWER✔✔-Explanation
Cardiac tamponade
Clients with pericardial effusion should be - ✔✔ANSWER✔✔-monitored and
assessed closely for the development of cardiac tamponade. Signs and symptoms
of tamponade include muffled or distant heart tones, hypotension, narrowed
pulse pressure, jugular venous distension, and pulsus
indicate turbulent blood flow across diseased or malformed cardiac valves. They
are often described as musical, blowing, or swooshing sounds that occur between
normal heart sounds. They may be auscultated at the aortic, pulmonic, tricuspid,
or mitral areas. - ✔✔ANSWER✔✔-Murmurs
Clients taking estrogen therapy are at an increased risk for - ✔✔ANSWER✔✔-
hypercoagulability and thromboembolic complications. Signs or symptoms of
deep venous thrombosis (eg, leg swelling, redness, pain) should be reported to
the health care provider immediately.
The nurse needs to monitor groin puncture sites, peripheral pulses, urine output,
and kidney function in the client who has had minimally invasive endovascular
repair of an abdominal aneurysm. - ✔✔ANSWER✔✔-Endovascular abdominal
aortic aneurysm repair i
, increases the risk of tissue necrosis and limb loss. Management focuses on
improving blood flow and circulation to the extremities through lifestyle changes
and medications. - ✔✔ANSWER✔✔-Peripheral artery disease
on ECG is characterized by an irregular rhythm with fibrillatory waves instead of P
waves. Treatment includes rate control and anticoagulation. - ✔✔ANSWER✔✔-
Atrial fibrillation
is a sympathomimetic inotropic agent that increases heart rate, blood pressure,
cardiac output, and urine output. Vital signs should be monitored closely in these
clients as a higher dose can result in dangerous tachycardia and tachyarrhythmias.
- ✔✔ANSWER✔✔-Dopamine
Clinical manifestations of hypovolemic shock - ✔✔ANSWER✔✔-are associated
with inadequate perfusion and include urine output <0.5 mL/kg/hr, changes in
mental status, hypotension, and tachycardia.
The nurse should carefully monitor renal status in a client who has had abdominal
aortic aneurysm repair. - ✔✔ANSWER✔✔-BUN, creatinine, and urine output
should be assessed. Urine output of at least 30 mL/hr is expected.
When administering furosemide, it is important to closely monitor - ✔✔ANSWER
✔✔-the client's vital signs, serum electrolytes (potassium), and kidney function
tests (blood urea nitrogen, creatinine) prior to administration to prevent side
effects such as hypokalemia, hypotension, and kidney injury.
measuring capillary refill and assessing skin color and temperature; these are
usually within normal limits during the initial and compensatory stages of shock. -
